Pathologic T
This input is used for staging
Notes
**Note 1:** Assign 88 for in situ cases (behavior code /2). TNM does not include an in situ category for adrenal gland tumors. **Note 2:** Tumor size must be known to assign a value of T1 or T2. You may use a physician’s statement of the T category if this is the only information in the medical record. * If the tumor appears to be in the T1 or T2 categories, but no size or category is specified, assign TX **Note 3:** Assign the appropriate T category (T1, T2) based on the tumor size for the following descriptions Invasive carcinoma confined to adrenal gland Localized, NOSNAACCR Item
NAACCR #880| Pathologic T | Pathologic T Display | Description | Registrar Notes |
|---|---|---|---|
| pX | pTX | Primary tumor cannot be assessed | Pathologic classification criteria met, evaluation done: Physician unable to assess T Surgical resection of primary tumor, extension not stated Tumor size (TS) unknown for T categories where TS needed to determine T Physician assigns pTX, no other information available to determine T |
| p0 | pT0 | No evidence of primary tumor | |
| p1 | pT1 | Tumor 5 cm or less in greatest dimension No extra-adrenal invasion |
Stated as T1 |
| p2 | pT2 | Tumor greater than 5 cm NO extra-adrenal invasion |
Stated as T2 |
| p3 | pT3 | Tumor of any size with local invasion, NOT invading adjacent organs |
Adjacent connective tissue Gerota fascia Stated as T3 |
| p4 | pT4 | Tumor of any size with invasion of adjacent organs | Adjacent organs/structures: Kidney, ipsilateral or NOS Pancreas Retroperitoneal structures including: Great vessels: Aorta Inferior vena cava Further contiguous extension including: Diaphragm Liver Spleen Stated as T4 |
| 88 | 88 | Not applicable | Primary site/histology not TNM defined In situ case but no pTis is defined by TNM Death certificate only (DCO) case |
| <BLANK> | BLANK | See Registrar Notes | Pathologic classification criteria not met Pathologic classification criteria met, evaluation done: Results not documented in patient record No surgical resection of known primary tumor (not T0) Resection insufficient for site-specific pathologic assessment No surgical resection of primary tumor and there isn’t a positive biopsy of a structure in the highest T category and highest N category Evidence of metastatic disease (pM1), no other workup Only Pathologic Stage Group documented (no T, N, or M information available) |